| Family Preservation Services, Inc | |
|
100 Pleasants Ln Petersburg VA 23803-4602 | |
| (804) 231-1350 | |
| (804) 231-5825 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Pleasants Ln, Petersburg, Virginia |
| Authorized Official Name and Position | Michael Fidgeon (CEO) |
| Authorized Official Contact | 5407106085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services, Inc 10304 Spotsylvania Ave Suite 300 Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 100 Pleasants Ln Petersburg VA 23803-4602 Ph: (804) 231-1350 |
| NPI Number | 1164562138 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164562138 | NPI | - | NPPES |
| 15802029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15802029 (Virginia) | Primary |
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